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Sgvpnewscold

Treatment of Cold Symptoms During Pregnancy
Rhinoviruses and coronaviruses cause most colds during the fall and winter. Symptoms often include nasal obstruction, discharge, sneezing, sore throat, cough and headache. A low grade fevver may be present, but fever to as high as 102o F can also occur. Symptoms lasting for more than two weeks are more likely to be caused by allergies rather than a cold.
General Measures
Sinusitis
Fever should always be treated in the pregnant patient with acetaminophen. All patients should be encouraged to drink extra fluids. A secondary bacterial infections of the sinuses, requiring treatment with cool mist vaporizer may help to relieve congestion.
antibiotics. Sinusitis with purulent nasal drainage and facial pain lasting for more than 7 days may be treated with: If the patient wishes to use over-the-counter medications to address symptoms the following may be safely recommended: Azithromycin (Zithromax ®) 500mg
Chlorpheniramine (Chlortrimeton ®)
Diphenhydramine (Benadryl ®)
Clemastine (Tavist Allergy ®)
TMP-SMX (Bactrim, Septra ®)* 1
Pseudoephedrine (Sudafed ®)*
*Avoid in first trimester.
(Robitussin DM Sugar free®)
REFERENCES
Acetaminophen (Tylenol ®)
1. 1. Schatz M, et al. The safety of asthma and allergy medications during pregnancy. J Allergy Clin Immunol. 1997 100:301-6. 1997. 2. Briggs GG,Freeman RK, Yaffe SJ, Drugs in Pregnancy and Lactation 6th edition,Baltimore, MD: Williams & Wilkins,2002. p285 For multiple symptoms the combination medications below may be used. 3. Martinez-Frias ML, Rodriguez-Pinilla E. However, the patient should attempt to limit medications to treat specific Epidemiologic analysis of prenatal exposure to cough medicines containing dextromethorphan: no evidence of human teratogenicity. Teratology, 63:38-41. 2001 Nasal congestion, sneezing, runny nose, itchy watery eyes 4. Einarson A, et al. The safety of dextromethorphan in pregnancy : results of a  Actifed Cold and Allergy ®
controlled study. Chest. 119:466-9. 2001 5. Shaw GM, Todoroff K, Velie EM, Lammer Ingredients: Pseudoephedrine ,Triprolidine EJ: Maternal illness, including fever, and medication use as risk factors for neural tube Nasal congestion, sneezing, runny nose, itchy watery eyes, fever, and defects. Teratology 57:1-7, 1998. 6. Aselton P, Jick H, Milunsky A, Hunter JR, Stergachis A. First-trimester drug use and congenital disorders. Obstet Gynecol. 65:451-5.  Actifed Cold and Sinus ®
Ingredients: Acetaminophen, Chlorpheniramine, Pseudoephedrine.
7. Snow V, Mottur-Pilson C, Hickner JMPrinciples of appropriate antibiotic use for acute sinusitis in adults. Ann Intern Med. 20;134:495-7. 2001 8. Antimicrobial treatment guidelines for acute bacterial rhinosinusitis. Sinus and Allergy Health Partnership. Otolaryngol Head Neck Surg. 123(1 Pt 2):5-31. 2000 Treatment of Cold Symptoms During Pregnancy
Patient Instruction Sheet
General Measures
Fever should always be treated with acetaminophen (Tylenol ®). You should drink extra
fluids. A cool mist vaporizer may help to relieve congestion.
Over the Counter (OTC) Cold Remedies
If you wish to use over-the-counter medications to address symptoms the following may be safely recommended: Chlorpheniramine (Chlortrimeton ®)
Diphenhydramine (Benadryl ®)
Clemastine (Tavist Allergy ®)
Pseudoephedrine (Sudafed ®)*
Dextromethrophan (Robitussin DM Sugar free ® ) Acetaminophen (Tylenol ®)
For multiple symptoms the combination medications below may be used. However, youshould attempt to limit medications to treat specific symptoms when possible.
Nasal congestion, sneezing, runny nose, itchy watery eyes  Actifed Cold and Allergy ®
Ingredients: Pseudoephedrine ,Triprolidine Nasal congestion, sneezing, runny nose, itchy watery eyes, fever, and headache Actifed Cold and Sinus ®
Ingredients: Acetaminophen, Chlorpheniramine, Pseudoephedrine

Source: http://www.peridocs.com/SanGabriel/guidelines/Newsletter/SGVPNEWS9-Cold.pdf

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